Provider Demographics
NPI:1417744079
Name:MARVELOUS MERGER GROUP LLC.
Entity type:Organization
Organization Name:MARVELOUS MERGER GROUP LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ODENIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-262-0106
Mailing Address - Street 1:10266 CURRY FORD ROAD
Mailing Address - Street 2:SUITE 107 PMB 1016
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825
Mailing Address - Country:US
Mailing Address - Phone:412-863-8653
Mailing Address - Fax:
Practice Address - Street 1:2287 CALLAWAY CT STE 1
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-1733
Practice Address - Country:US
Practice Address - Phone:321-402-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No335G00000XSuppliersMedical Foods Supplier
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker